HomeMy WebLinkAbout0117943-Building
G
OSHKOSH
ON THE WATER
Job Address <r~4 DC\GTpRS CT
CITY OF OSHKOSH
No
117943
BUILDING PERMIT - APPLICATION AND RECORD
Owner AURORA MEDICAL GROUP INC
Create Date
01/19/2006
Designer
Hammes Company
223 - Alteration Offices, Banks, Professional
Contractor
MIRON CONSTRUCTION CO INC
Category
Plan
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
Size
Unfinished/Basement
----2 Sq. Ft.
----2 Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
D Projection I
Finished/Living
Canopies
Garage
----2 Sq. Ft.
Signs
0
Foundation
. Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units 0
# Structures
0
~:;,;~~~ure g::-:It~t~~tions to convert 6 exam rooms into 4 exam rooms as per plans and disproportionality form submitted. NO STRUCTURAL
HVAC Contractor
Plumbing Contractor
UNKNOWN
Electric Contractor
UNKNOWN????
Fees: Valuation
$18,713.00 Plan Approval
$0.00 Permit Fee Paid
$119.00 Park Dedication
$0.00
Issued By:
Date 01/20/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1519110600
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure a eces ary a als b for s rting sue ctivity.
. ...,
Date
/-ZD -Z{)¿)~
Signature
Address PO BOX 509
NEENAH
WI 54957 - 0509
Telephone Number
920-969-7053
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
IV""'""
15:52 FAX
282 792 3820
HAMMES COMPANY
~001/003
Halllll1~S Company
CONFIDENTIAL FACSIMILE TRANSMITTAL
TO:
Brian
FIRM:
City oCOshkosh - Buildiug Permits
PHONE:
920/236-5051
FAX:
920/236-5084
FROM:
GaJ)' W. Fischer
Hammes Company
'DATE:
January 18, 2006
NO. OF PAGES:
Three (3) pages including cover page
ANY PROBLEMS WITH
THIS TRANSMITTAL:
Call Gary Fischer at 262/792-4735
Re:
Aurora Health Ceuter
414 Doctors Court
Oshkosh, WI 54901
Project #3004-001-052
Briau:
.
Disproportionality Form - Building Permit
On behalf of Aurora Medical Group we are submitting the attached DisproportÎonality Form
(dated 1/18/06) for a building permitto renovate six (6) exam rooms into four (4) exam rooms
and provide new ADA accessible doors for the new exam rooms. Miron ConstructiOn has been
retained for the renovation work and has submitted the construction plans to your office today-
Please call us when the building permit is ready to be issued. Miron Construction will pay the
building permit fees.
lfyou have any question, feel free to calL
1/18/06
Copy to:
Rudy Sajdak Miron Coustrudion
e-mail
roa j dak@mironconst.com
TelephOne 262-792-5900 / Facsimile Transmission 262-792-3620
18000 W, Sarah Lane, Suite #250
Brookfield, Wisconsin 53045
0~!18/2q08 15:52 FAX 2827823820
HAMMES COMPANY
DISPROPORTIONALITY FORM
(SBIJ.IO219) .
DispmportiolVll.ity form, SBD 10219, shall be submitted with the plan application form
and plans at the fuJle ofbuì1ding plan review.
The plan reviewer will detennine compfumçe with the alteration reqlrlrements specified .
in chapter COMM 69-
PROJECT INFORMATION
BUILDING LOCATION:
11'-1 !J{)JfÖ/(S {ol/lPr
S1'REET ADDRESS .
~.~~;~ WI 5190!
j¡/YlJV~ /11m/ (ilL GtlÒ/JP
,
i/4;øIf/ra; 41ß'¡t~ ;/ø/!t1{t1rt!
'1/ i!sf ÚC 5
. /fJrf .1t1!?(}fill /I11:-7)J(flt- &f!f)Vf
/- Ilf-Or:, .
OWNER'S NAME (PLEAJ;E PRINI)
0
~
64A
~ 002/003
01/18/2908 15: 52 FAX 282 792 3820
HAMMES COMPANY
~ 003/003
DISPROPORTIONALITY
COMM 69.10 (3) AND ADAAG 4.1.6 (2)
A. TOTAL COST OF ALTERATION TO
PRIMARY FUNCITON AREA..
(Excluding costs in B.) ," -
. MINIMUM EXPENDlTIJRES FOR 1> ATH OF
TRAVEL: 1
20% of toW cost ofaltmiÐon to a primary
function
B. COSTS TIIAT MAY BE COUNTED AS
ExPENDITURES REQUIRED TO PROVIDE A
PAm OF 1RA VEL (Usted ID order ofpnority in the
event of disproportiolUllity); .
1. Costs associated with províðing an accessible ¡:nùance: S
2. Costs associa~d with providing accessible J"Ouœ to the
altered area: . , , .
3. Costs associatc:d with making toi1=t rooms accessible,
such as mstalling grab ban!, ën!argi:ng toilet stàlls,
insulating pipes or installing accessible fiwcet controls: $
4. Costs associated with providing accessible telephones,
such as relocating the telephone to lID açœssible height,
installing amplification devices or iDsta11in¡ TIY' $:
5. Costs associated with reloc:ating an ìnaccessi."ble
drin1ång fountain:
6. Costs associated with providiDg acccsSl"ble eIemen1s
such lIS parking, stomge and alarms.
TOTAL COSTS TO PROVIDE PATH OF
IRA VEL;
C. DISPROPORTIONATE COSTS:
!fthe total cost of the expenditure¡¡ in.B. is greater
than 20% of the: total cost (¡fthe a!taatiõn in A., list the
accessibility featUres that will equal or exceed' 20% of the
toW cost oftbe altemtiòn. .
SBD-I0219 fN.I0/9S)
$
$
;5:/30
.
3æ~7
$
.-0-
35"133
33()o
s
$
$
$
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l¡)/!)¡;,'r IJ.. '!:!N
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645
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450
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414 Doctors Court
Oshkosh ,WI
11/08/05
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